Individual provider Active NPI

Ashley Micciche Cain, PA

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1306294517
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109482 Issued in FL
Practice address
3030 N Rocky Point Dr W
Ste 670
Tampa, FL 33607-5803
Phone
(813) 289-6597
Fax
(813) 289-6592
NPI assigned
May 27, 2016
Last updated
Jan 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109482 FL Primary

Addresses

Primary practice location

3030 N Rocky Point Dr W
Ste 670
Tampa, FL 33607-5803

Mailing address

3901 Coconut Palm Dr Ste 120
Tampa, FL 33619-8362
Phone (954) 377-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728000512 FL Practitioner - Physician Assistant 6709179765 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Post Acute Medical Services 1 PAGroup PAC ID 2567729395, 57 clinicians
Ca Pacs 2 Medical Group IncGroup PAC ID 4981954476, 27 clinicians

Practice addresses (Care Compare)

1001 9TH St N
Saint Petersburg, FL 33701-1514
Phone (865) 693-1000

1150 Ponce de Leon Blvd
Clearwater, FL 33756-1041
Phone (865) 693-1000

2029 Professional Ctr Dr
Orange Park, FL 32073-4461
Phone (865) 693-1000

2135 40TH Ave N
Saint Petersburg, FL 33714-4124
Phone (865) 693-1000

3201 1St St NE
Masonic Home of Florida
St Petersburg, FL 33704-2205
Phone (727) 822-3499

4100 E Fletcher Ave
Tampa, FL 33613-4864
Phone (865) 693-1000

4325 Southpoint Blvd
Jacksonville, FL 32216-6166
Phone (904) 245-7620

718 22ND Ave S
Saint Petersburg, FL 33705-3004
Phone (865) 693-1000

926 Haben Blvd
Palmetto, FL 34221-4142
Phone (941) 722-0553

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109482FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Physician Assistant CurrentSince Jun 10, 2016 Accepting new patients
Inpatient Consultants of Florida, Inc. Physician Assistant Past Accepting new patients

Locations

3030 N Rocky Point Dr W
Ste 670
Tampa, FL 33607
Phone (813) 289-6597

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1306294517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 COCONUT PALM DR STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198362",
            "telephone_number": "954-377-3113",
            "fax_number": "865-560-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N ROCKY POINT DR W",
            "address_2": "STE 670",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075803",
            "telephone_number": "813-289-6597",
            "fax_number": "813-289-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "ASHLEY",
        "middle_name": "MICCICHE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.